| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | REM/ADJ DEV/CATH ONLY EP | $3,049 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $542 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $726 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,067 [source] | gross_charge | 2 weeks ago |
| C1713 | MESH STRATTICE RECON | $54,793 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND IVL 5X60MM | $15,487 [source] | gross_charge | 2 weeks ago |
| C1776 | COMPNT FEN RT KN SZ5 | $31,951 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 10MM | $21,230 [source] | gross_charge | 2 weeks ago |
| C1874 | GRAFT EVAS 150X40X40MM | $53,746 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT NEUROFORM3 4.5X15 | $20,851 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL DIOP NTRL 19.0 | $565 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +20.5 DIOP 2.25 | $7,114 [source] | gross_charge | 2 weeks ago |